A STUDY OF ABDOMINAL TUBERCULOSIS IN A NORTH INDIAN POPULATION AT A TERTIARY CARE HOSPITAL– A RETROSPECTIVE CROSS–SECTIONAL STUDY.

Dr. Naveed Anjum Qureshi; Dr.Viney Sambyal

Volume : IX, Issue : VI, June - 2019

A STUDY OF ABDOMINAL TUBERCULOSIS IN A NORTH INDIAN POPULATION AT A TERTIARY CARE HOSPITAL– A RETROSPECTIVE CROSS–SECTIONAL STUDY.

Dr. Naveed Anjum Qureshi, Dr. Viney Sambyal

Abstract :

Introduction: Tuberculosis is a global health problem with an estimated 8.6 million annual incidence with India having largest tuberculosis burden with around 26% of world tuberculosis cases. Abdominal tuberculosis is defined as infection of the peritoneum, hollow or solid abdominal organs with Mycobacterium Tuberculi. The peritoneum and the ileocaecal region are the most likely sites of infection and are involved in the majority of the cases by hematogenous spread or through swallowing of infected sputum from primary pulmonary tuberculosis. Materials and Methods: The patients presenting to Out Patient Department (OPD) and in–patient department (IPD) of a tertiary care hospital (GMC Jammu) from January 2016 to December 2016 were considered in the study. 121 patients were enrolled in to the study. The age group of the patients are from 20–80 years. Results: All diagnosed patients of tuberculosis received three–drug anti–tubercular regimen. There was no post–operative mortality. Inspite of specific anti tuberculosis drugs and vast measures against the disease including chemoprophylaxis and pasteurisation, abdominal tuberculosis remains a fairly common disease even today. Young adults between 20–40 years are the most commonly affected. Conclusion: Abdominal tuberculosis poses a diagnostic challenge as the disease presents with non specific symptoms, a diagnosis of GI tuberculosis is often delayed. Early diagnosis is the key factor in avoiding systemic and local complications of intestinal tuberculosis.